It’s understandable to feel concerned when throat discomfort continues despite a normal endoscopy. Several factors beyond what an endoscopy can detect might be causing your symptoms.

1. Possible Reasons for Persistent Throat Discomfort Despite Normal Endoscopy

   • Acid reflux can still irritate the throat lining even if the esophagus looks normal on endoscopy.
   • Other causes include post-nasal drip, allergies, or functional throat disorders that don’t show structural changes.

2. Understanding Acid Reflux and Its Impact on the Throat

   • Acid reflux can cause dryness, itchiness, and pain in the throat by irritating the mucosa, leading to persistent discomfort.

3. Recommended Medications and Treatments for Acid Reflux-Related Throat Symptoms

   • Proton pump inhibitors (PPIs) like pantoprazole (found in Pan-D Capsule) reduce stomach acid and help heal irritation.
   • Prokinetic agents like domperidone improve stomach emptying, reducing reflux episodes.
   • Throat lozenges or sprays may provide symptomatic relief but should be used alongside acid suppression.

4. Lifestyle and Home Care Measures

   • Avoid spicy, acidic, fatty foods, caffeine, and carbonated drinks that can worsen reflux.
   • Elevate your head while sleeping to prevent acid backflow.
   • Avoid smoking and alcohol, which irritate the throat and worsen reflux.

5. When to Follow Up with a Specialist

   • If symptoms persist despite treatment, worsen, or you develop new symptoms like difficulty swallowing or weight loss, consult a gastroenterologist or ENT (ear, nose, and throat) specialist for further evaluation.

6. Importance of Personalized Medical Advice

   • Medications like Pan-D Capsule should be taken under a doctor’s supervision to ensure safety and effectiveness based on your health status.

If you want, I can explain how acid reflux causes throat symptoms in more detail. Meanwhile, please consult a gastroenterologist to tailor treatment for your ongoing discomfort.To narrow down potential causes, we will need some more information.I understand that you have been having a dry and itchy throat, sometimes with pain due to acid reflux. To give you the best advice, could you please tell me your age and gender?